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Chronicles of a Stomach Stapler: Dispatches from the Front Lines of America?s Obesity Crisis

Autor Don Reneau, John Alverdy, MD
en Hardback – 30 dec 2035
Chronicles of a Stomach Stapler details Dr. John Alverdy’s career, devoted to replumbing his patients’ insides to defeat the natural purpose of their digestive systems. Each case is an adventure, a unique encounter between a desperate patient and a dedicated but fallible expert wielding the tools of an imperfect science. His patients come to him suffering not only discomfort and immobility, high blood pressure, diabetes, sexual impotence, and a heightened overall risk of mortality, but one of the most visible and disreputable of afflictions. They endure degradation, insult, and judgment, and recently have been accused of being the single biggest factor in the unmanageable cost of American health care.
 
Tacking between the immediacy of individual cases and a more reflective consideration of the obesity phenomenon as a whole, Chronicles of a Stomach Stapler argues provocatively that the prejudice, worse than misguided, operates as a convenient distraction from an uncomfortable truth. The painful fact is that modern obesity is a disease of human progress. At the center of the crisis, Alverdy grapples with his own moral conundrum: yes he frequently saves lives, but he’s also contributing to a cycle wherein human behavior and sociological circumstances can be mitigated only by drastic surgical intervention.  Drawing on extensive experience, a prominent physician reflects on life, death, and the state of the art in an area of specialized medical practice that is quickly becoming a national obsession.
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Specificații

ISBN-13: 9781590514177
ISBN-10: 1590514173
Pagini: 300
Greutate: 0.57 kg
Editura: Other Press
Colecția Other Press

Notă biografică

Dr. John Alverdy is the Sarah and Harold Lincoln Thompson Professor of Medicine, vice chair of the Department of Surgery, and director of Minimally Invasive Surgery at the University of Chicago Pritzker School of Medicine. He oversees one of the most active weight-loss programs in the country, and has been a pioneer in the adoption of minimally invasive laparoscopic techniques in gastric bypass and other types of abdominal surgeries.
 
Don Reneau is a Chicago-based writer and editor. He freelances for the communications office at the University of Chicago Medical Center, writing pieces meant for a popular readership. He is also the translator of a number of works from the German, and at present he is completing a novel.

Extras

All seems well in this case. At last, we’ve accomplished the operation. We are ready to close the abdomen.  We release the liver, which has been held bent and compressed tight under the right rib cage under a steel retractor. As the liver begins to reshape and invigorate with blood, the patient’s blood pressure suddenly collapses…
   The door to the operating room opens to admit more anesthesiologists. An ominous sign. They help troubleshoot the causes of the patient’s low blood pressure.  Checking the output in the Foley catheter bag, they find that the urine output is dropping rapidly, an indication that the kidneys aren’t getting adequate blood flow.  The usual high-pitched tone of the heart monitor begins to get lower, and a look at the monitor screen shows that McCafferty’s blood oxygen level is falling. The oxygen level is turned up, with minimal effect. Now the heart rate is increasing.
   I’ve done the best operation I know how to do, under difficult circumstances, and now, looking up at the bad portents on the monitors and listening to the scurry of the anesthesiology team pushing medicines, ordering fluids, and connecting extra intravenous tubing lines, I feel powerless, a victim of my own judgment.